---
title: Is PRESBYOND surgery suitable if you have ocular hypertension?
description: "PRESBYOND may be possible in ocular hypertension, but requires careful evaluation of future glaucoma risk and monitoring needs. ## Points of caution Laser changes how pressure is interpreted. - Corneal thinning after laser can make IOP readings appear misleadingly low…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbyond-surgery-suitable-if-you-have-ocular-hypertension/"
updated: "2025-12-30"
category: Suitability
---

# Is PRESBYOND surgery suitable if you have ocular hypertension?

PRESBYOND may be possible in ocular hypertension, but requires careful evaluation of future glaucoma risk and monitoring needs.

## Points of caution

Laser changes how pressure is interpreted.

- Corneal thinning after laser can make IOP readings appear misleadingly low
- Pre‑existing pressure elevation reduces safety margins
- Ongoing monitoring is essential to detect early glaucoma
- Some pressure‑lowering drops aggravate dry eye, affecting visual quality
- Systemic and ocular risks must be balanced against elective surgery benefits

## Favourable factors

Some ocular hypertension patients remain candidates.

- Healthy optic nerves and normal visual fields
- Pressures controlled with or without medication
- Good corneal thickness and shape aside from planned ablation
- Commitment to regular post‑operative pressure checks
- Joint decision between refractive and glaucoma clinicians